EyeSeeYuRN

Hi, wanted to get some opinions on a recent very interesting patient that I had:Pt. was originally admitted to the floor with chest pain and RVR (both of which resolved in ER once nitro gtt was started). Apparently when he arrived on the floor, the ...

Deep breath, relax. The worst that can happen is you'll have to take it again. More knowledge gained.

Expat, that's very interesting that you don't use restraints. I can see how that could be employed in our unit for our standard resp failure patients, but that's not all we have. How do you control organically agitated patients, eg ETOH or hepatic ...

I work in a 16 bed ICU in a rather rural community, and because of budget restraints, the BHU upstairs was closed down quite a few years ago. So, we in ICU get the behavioral health patients... We have the standard 2 MD hold paperwork where the pati...

Yup, the lack of a locked unit is a problem. What usually happens with these patients is that they first end up in ICU because they are not medically stable (receiving dialysis, vented, etc) after being admitted, usually, with a dx of OD. So we tre...

Don't give up on LPN route. Even if you don't land in your desired unit as an LPN, if you maintain your position though til your licensed as RN, you might find it easier to get in to the same hospital (perhaps a different unit) than your colleagues ...

Looking to connect with other students completing the RN to BSN (aka ADN to BSN or OCNE AD grad) program starting Fall 2011 at OHSU. Anybody out there?

I did full time program (3 terms) plus worked full time (nights). It was grueling...not difficult material but time consuming work... But now I'm done. Worth it in every regard for me.

Last ditch efforts were definitely in play here!

Working night shift adds another whole level of needed creativity, especially if your patients is a walker/talker. See lab duck in the room at 0315? You betcha I'm grabbing any necessary equipment and getting some assessments/checks done. X-ray si...

Anybody using ABCDE bundle? Outcomes for well sedated patients are pretty poor. We're trying to adopt some of these aspects in our unit, but having more awake patients is definitely a lot more work...and more traumatic for the patients (we all argu...

Focker, great ideas. If this guy would have had pre existing pulm issues, could the presence of collateral circulation be a culprit? Does that happen in the lungs like it does in a long hx CAD? Colorado, yes we got a fem CL shortly after echo, so ...

I appreciate the feedback... That makes sense.... My only thoughts were that it might have been used anyway as a last ditch effort. The other interesting thing about this case was that it presented as classic MI.. With a bit of cardio shock mixed i...

On the same note, what do you do for these patients? I've seen Osler's nodes on extremities before, but what about pulmonary/brain emboli risk? Is there any way to break these up to keep them from creating big resp/neuro issues?

This is an awesome EKG simulator: http://www.skillstat.com/ECG_Sim_demo.html To work the game, press GAME, then RESET, then START.

Hi Emily. The program that I am doing is not a "specialty" program, it's just the bachelors of science in nursing. And I can't really speak to how hard it was to get into OHSU, because Oregon has a special program with some of it's community colleg...

email me and we can discuss details, [email protected]!

I went to school at Umpqua Community College in Roseburg, OR. Yes, I'll be starting on 26th at OHSU, but the online program is the one I'm doing.

Are you already ADN, or starting from the beginning? I just graduated with ADN and took NCLEX, and doing BSN starting fall 2011

Great info in this post here! The previous mention of the dichrotic notch brought back some memories from a teaching session I was given hastily one day during my preceptorship regarding different "peaks" in waveforms. I can't, for the life of me, r...